IP-DRG - Coders & QA

1 - 6 years

3 - 6 Lacs

Posted:1 week ago| Platform: Foundit logo

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Skills Required

Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

IP-DRG Coder

  • Review inpatient clinical documentation and assign

    accurate ICD-10-CM/PCS codes

    .
  • Assign appropriate

    MS-DRGs/APR-DRGs

    based on documented diagnoses and procedures.
  • Ensure 100% adherence to

    coding guidelines

    , payer-specific rules, and DRG logic.
  • Collaborate with documentation teams to resolve ambiguities and initiate

    physician queries

    if needed.
  • Meet daily

    productivity and accuracy benchmarks (95%+ accuracy)

    .

IP-DRG QA (Quality Analyst)

  • Audit inpatient coded charts for accuracy and

    DRG compliance

    .
  • Provide

    detailed feedback and corrective training

    to coders based on audit findings.
  • Monitor coding trends and ensure alignment with

    CMS, AHA, and UHDDS

    guidelines.
  • Maintain audit dashboards, quality logs, and client reports.
  • Participate in coder upskilling, calibration sessions, and process improvement.

Qualifications:

  • Education:

    Graduate in Life Sciences / Paramedical / Nursing or equivalent
  • Certification (Mandatory):

  • AAPC or AHIMA Certified

    CIC, CCS, or CPC-H/COC

  • Experience:

  • Coders:

    Minimum 2 years in

    inpatient hospital coding

  • QA:

    35 years of

    inpatient coding + auditing experience

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